Healthcare Provider Details

I. General information

NPI: 1861472433
Provider Name (Legal Business Name): CHING HO MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 12/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4760 E GALBRAITH RD SUITE 208
CINCINNATI OH
45236-6703
US

IV. Provider business mailing address

PO BOX 631821
CINCINNATI OH
45263-1821
US

V. Phone/Fax

Practice location:
  • Phone: 513-891-1200
  • Fax: 513-791-2068
Mailing address:
  • Phone: 513-721-6781
  • Fax: 513-345-6281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number35052941H
License Number StateOH

VIII. Authorized Official

Name: CHING HO
Title or Position: PRESIDENT
Credential: MD
Phone: 513-891-1200